NPI 1013090992
Randolph Vanalstine, DDS
Practice location
- Address
- 25882 Orchard Lake Rd STE 105, Farmington Hills, MI 48336-1294
- Phone
- (248) 442-6600
- Fax
- (248) 564-0946
- Mailing address
- 877 E Lake Shore Dr, Decatur, IL 62521-3390
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1013090992
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Oct 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.